Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.90 / $5,076.00 / $17,380.00	Facility		$188.90	$5,076.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $146.44 / $617.75	Professional		$101.00	$146.44	$617.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $4,314.00 / $8,260.00	Facility		$873.00	$4,314.00	$8,260.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $167.48 / $354.09	Professional		$112.38	$167.48	$354.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $6,564.23	Facility		$67.90	$100.00	$6,564.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $152.91 / $340.24	Professional		$107.04	$152.91	$340.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.14 / $334.50 / $1,404.00	Facility		$120.14	$334.50	$1,404.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.54 / $181.10 / $399.58	Professional		$117.54	$181.10	$399.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $129.68 / $221.71	Professional		$57.33	$129.68	$221.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.41 / $162.62 / $285.00	Professional		$110.41	$162.62	$285.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $738.12 / $741.90	Facility		$55.00	$738.12	$741.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $781.52 / $1,070.88 / $1,244.70	Professional		$781.52	$1,070.88	$1,244.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $121.76	Professional		$32.34	$32.34	$121.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.31 / $158.68 / $251.15	Facility		$107.31	$158.68	$251.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $199.70 / $393.25	Professional		$121.77	$199.70	$393.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $361.16 / $361.16 / $530.66	Professional		$361.16	$361.16	$530.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $104.78 / $205.34	Professional		$57.33	$104.78	$205.34
United Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $1,220.00 / $5,269.00	Facility		$141.00	$1,220.00	$5,269.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.88 / $172.04 / $390.60	Professional		$125.88	$172.04	$390.60